This page may not work correctly in your current browser, Internet Explorer. We recommend changing to a more modern browser before viewing this page. We recommend Chrome, Firefox, Safari, or Edge. The Leslie Keller-Biehl Memorial Fund The Keller-Biehl family is generously matching all donations made to the fund by December 1st. Alex and his family are grateful for your gift in honor of their mom Leslie. Thank you. *Fields marked with an asterisk are required. Prefix: Dr. Miss Mr. Mrs. Ms. Mx. Rabbi Rep. Rev. Sen. First Name: Last Name: Suggested Donation Amounts: $25 $50 $75 $100 $250 $500 Other Amount $25 $50 $75 $100 $250 $500 Other Amount This is a one time donation Make this a recurring donation deducted Monthly Quarterly Every 6 Months Annually End Date: Should we keep your donation anonymous? (Your name will not appear on our website if you select YES.) No Yes Is your donation in honor or memory of a loved one? (Enter their name): Is your donation in honor or in memory of this person? Honor Memory Would you like to share any thoughts with Alex and his family? Your Contact Information: Email: Phone: Address: City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming American Samoa Federated States of Micronesia Guam Marshall Islands Northern Mariana Islands Palau Puerto Rico U.S. Minor Outlying Islands Virgin Islands Armed Forces Americas Armed Forces Europe, the Middle East, an Armed Forces Pacific Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Territory Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Zip: - Zip Suffix Captcha If you prefer, please send a check to the following address and indicate The Leslie Keller-Biehl Memorial Fund on the memo line: Ohio End of Life Options P.O. Box 221151 Beachwood, OH 44122 Phone: 216-512-1151 Email: Info@OhioOptions.org Ohio End of Life Options is a 501(c)3 nonprofit organization and your donation is tax-deductible to the extent allowed by law. Thank you for your support. Ohio End of Life Options uses your information to communicate its messages via email, text and rare phone messages. We do not share your information. Ohio End of Life Options is committed to protecting the privacy of the data we collect. Yes, I would like to receive text messages from Ohio End of Life Options. What's the best number for us to text you? * Neon CRM by Neon One
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